Ophthalmology Referral Compliance Specialist

Heaton Eye Associates; Tyler (TX); On-site; USD 48,000 - 65,000; Full time

Benefits offered by this job

Affordable Health and Dental

Vision Care

Life Insurance

PTO

401K

Job summary

Heaton Eye Associates in Tyler, TX seeks an organized administrative professional to manage referrals and co-management compliantly. You will oversee billing/documentation, support provider communications, and maintain up-to-date referral reports for the physician team and staff.

Ideal candidates have 5+ years in ophthalmology or optometry, an associates degree, and strong Excel/database skills with experience in medical billing/EHR systems.

Qualifications

• Associates degree preferred.
• Proficient with Excel and database management.
• Experience with medical billing, coding, and EHR systems.
• Strong communication and presentation skills.

Responsibilities

• Accurately track external referrals and co-management and report trends.
• Ensure proper documentation for billing and coding.
• Provider communications and operational support.
• Support external referral growth by educating OD network and their staff.
• Stay up to date with compliance requirements for co-management and communicate with HEA and referral network.
• Coordinate with clinical and RCM teams for documentation and reimbursement.
• Provide exceptional customer service and education to mutual patients and referring providers.
• Attendance, punctuality, reliability, and alignment with core values.
• All other duties as assigned.

Skills

Multitasking

Excel

Database management

Education

Associates degree

Tools

Medical Billing/EHR

Job description

Heaton Eye Associates in Tyler, TX seeks an organized administrative professional to manage referrals and co-management compliantly. You will oversee billing/documentation, support provider communications, and maintain up-to-date referral reports for the physician team and staff.

Ideal candidates have 5+ years in ophthalmology or optometry, an associates degree, and strong Excel/database skills with experience in medical billing/EHR systems.